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While the drug is an effective treatment for many types of infections, it is not without criticism. Some critics argue that the drug is too expensive, while others, including the American Society for Microbiology, are concerned that the drug could be harmful or potentially lead to serious side effects.
Related: In-office drug tests show 'no difference' between smokers and nonsmokers
For people who think they might be dealing with a bad batch of the antibiotic, they should call their doctor right away so they have a safe treatment plan in place. Some people the U.S. already have access to the drug, while a similar version is being developed in Canada. the UK, drug will be taken off the prescription list in 2018, but will remain available in some clinics, with the goal of making it more widely available in the future.
Related: New anti-viral drug is being given to people suffering from 'chronic fatigue syndrome'
"We are at the dawn of a new era in medicine," says the National Institutes of buy metronidazole tablets Health's Dr. John P. Grohol. "It is hard to get information on this drug for some time, it's very expensive (up to $1500 per dose) and most importantly, it is the wrong medicine."
With so many options for treating infections, Grohol says, we have to be concerned about people who might be using the wrong medication. "If we treat people with the wrong antibiotic, that might go on to affect them later in life," says Grohol, a clinical professor of medicine and microbiology at Mount Sinai Hospital in New York City. "That's something we should think about before prescribe it."
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Metronidazole is used to treat bacterial infections of the vagina, stomach, skin, joints, and respiratory tract. This medication will not treat a vaginal yeast infection.
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Buy metronidazole pills online and not at the pharmacy. Then he could return the following day to buy a third supply.
"Not one of them called me at home. They didn't find one pill," says Mr. Thakur, 35, who runs a carpet-flooring business in the capital, New Delhi.
"That's when I found out that in India there is a lot of fraud. People can fake drugs and sell them."
The numbers are "appalling," says V.K. Singh, the country's former narcotics-control chief. "The problem is that while the law provides for strict punishment [for offenders], people are allowed to go about in the dark."
"I don't know how much the drug gangs make in India," says Mr. Singh, who is now a researcher at the New York School of Hygiene and Public Health. "But they do well."
Mr. Thakur's operation was a success, though not in the way he or his friends had anticipated. Their small-scale operation was not enough to satisfy the market. Their first batch of tablets turned out to contain only 70mg of niacinamide, which was too little for a dose that would have been needed for a cure.
They made another batch. This time, they managed to buy metronidazole 2g produce 6,000 tablets, and sold them for 50,000 rupees to those who wanted them.
"It saved me money," says Mr. Thakur. "I got to sell the pills by weight instead of volume," which made them more available, and also gave them a chance to resell at profit once they were ready to distribute more. They made about 100,000 rupees from the sale of pills in following week.
The money was well spent. A couple of days after Mr. Thakur's operation, the Indian television network NDTV reported that it had obtained images of doctors mixing up a batch of drug pills in India that contained 1,400 times the prescribed dosing amount for cure.
The drugs are sold on Internet in India and elsewhere the world by chemists and pharmacists who make up a market that some estimates at almost $8 billion per year.
"The prices in the market are very high compared to what it costs us make," says Ranabir Kumar, a pharmacist in Chennai, who is a spokesperson for online vendor BH Pharma, who makes about $15 million per year and distributes to about 300 Buy metronidazole in australia
pharmacies in India.
"But the drug is good," he says, "and we make good profit."
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supply chain consists of numerous vendors, all which are in the business of making something other than drugs, says Anand Grover, president of the Medicines Control Council.
"One group is purveyors for fake medicine, [and] another group is the wholesalers," he says. "The wholesalers may get chemicals and a drug formulation, which is why there's so much fraud."
The vast majority of supply chain is led by local producers, who buy cheap inputs in the global market and pass them on to manufacturers who then ship them to India for wholesale sale.
Mr. Grover says there is some scope to reduce the supply chain's dependence on a global supply, as Indian government agencies begin to push Indian entities produce more medicines locally.
There are no data regarding the scale of problem in India, but Mr. Grover says Indian regulators are already watching the issue.
"It's like any issue you can bring up — look, you've got these suppliers coming from somewhere, and you've got them coming from here," he says. "You've got to be much more vigilant as far the quality is concerned."
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